Innate Integration LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

INNATE INTEGRATION LLC

Practice address

19 Kathleen Dr
Andover, MA 01810-1901

Phone

(781) 572-6443

NPI assigned

Apr 3, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Timothy Arena

Title

Founder Innate Integration LLC

Phone

(781) 572-6443

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617408000000",
    "number": "1093394587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 KATHLEEN DR",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 KATHLEEN DR",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101901",
            "telephone_number": "781-572-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE INTEGRATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-03",
        "last_updated": "2021-04-03",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "ARENA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "FOUNDER INNATE INTEGRATION LLC",
        "authorized_official_telephone_number": "781-572-6443"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Andover, MA
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• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.